Great doctors start with pediatrics

Red light, still red light.

Under the watchful eyes of everyone, every gaze was filled with pressure.

Disciplinary action? Expulsion?

While the latter may not be the case, the former is equally troublesome.

But Laurent remained calm and began to think.

The first red light appeared when the young man was preparing for surgery and sending a message.

The second red light appeared when the anesthetic was injected.

Subsequent attempts were all related to the injection of anesthesia.

When he removes the anesthetic, it glows green; when he applies the anesthetic, it glows red.

Laurent had initially speculated that it might be an allergic reaction to lidocaine.

But during the break in the surgery, he quickly checked the pharmacopoeia on his phone, which clearly stated that lidocaine does not require routine skin testing in clinical use and the incidence of allergic reactions is extremely low.

Moreover, allergic reactions typically manifest as rashes, difficulty breathing, and a sudden drop in blood pressure, which is completely inconsistent with the young man's condition.

Moreover, when the red light first appeared, the anesthetic was not yet ready to be injected.

Conversely, the appearance of red light may be related to the surgery itself.

The administration of anesthetic drugs, the performance of the surgery, and the emotions during the surgery.

Excluding the first two, only the latter is possible.

Now, the red light appeared again, and Laurent clearly heard what the young man had sent.

Going to a bar tonight.

bar!

The word flashed through Laurent's mind instantly.

When you think of bars, you naturally think of deafening music, flashing lights, the effects of alcohol, wild dancing, and unrestrained couples...

Without exception, all of these will make a person's heart race and their emotions extremely excited.

Suddenly, Laurent thought of the only piece of evidence that could prove his conjecture.

Preoperative blood pressure measurement.

According to his medical records, the young man had his blood pressure measured multiple times, with systolic pressure consistently between 145 and 155 mmHg. He only reached the surgical standard after resting.

At the time, both the young man and Zhang Lianren thought it was a temporary spike in blood pressure caused by the stress of the surgery and didn't take it seriously.

Just like the young man said, who wouldn't be nervous about having surgery?

But what if... what if the red light during surgery was also caused by emotional excitement?

What are the effects of emotional excitement?

Hormone secretion, brain nerves, heart rate, and blood pressure.

Based on Laurent's rudimentary medical knowledge, the heart is the organ most closely related to blood pressure and also the most dangerous.

But the heart examination revealed no problems.

Everything falls into a circular argument.

The question of which came first, the chicken or the egg, is a problem that Laurent cannot prove, whether it was the chicken or the egg.

The surrounding air seemed to freeze.

Laurent.

Zuo Zhenxing spoke up: "We won't blame you, as long as the patient has no objections..."

Watching the energetic young man taking pictures of his chest CT scan and showing it off, Zuo Zhenxing didn't think the patient would report the hospital.

"The money can also be paid from my account. I acknowledge your responsible attitude towards patients as a student, and I will also teach you."

But doctors aren't prophets; they can't rely solely on their feelings.

Cover-up, blatant cover-up.

As long as the patient has no objections, the matter will not be pursued, and there are plans to continue educating Laurent.

Doesn't this just put the matter to rest?

Laurent only needed to "confess" his mistakes to his teacher to be forgiven.

But what about the energetic young man?

Even if he causes trouble outside, as long as he doesn't go too far and doesn't reach the point of being universally condemned, he's just a patient in the hospital.

If I abandoned the patient this time in order to save my life, won't I do the same thing next time?

"Teacher Zuo."

Laurent collected his thoughts and stared at Zuo Zhenxing: "Professor Zuo, I want to ask you, if we want to examine the heart, what other examination methods are available?"

"There's also CCTA (coronary CT angiography) and angiography, but Laurent, even if I trust your judgment..."

Zuo Zhenxing rubbed his temples and said earnestly, "But even if there are no abnormalities, we can't perform a coronary angiography on the patient."

"But..." Laurent struggled to find the right words.

"No buts."

Zuo Zhenxing interrupted him, his tone leaving no room for argument: "We can't just do so many tests based on a mere guess."

Laurent knew that Zuo Zhenxing was worried about two things: himself and the hospital departments would be held responsible for over-treatment.

If the department is held accountable, all doctors' performance bonuses may be deducted.

"Wait, you just mentioned coronary angiography?"

Just then, the energetic young man who had been taking his chest CT scan suddenly walked out: "Is it one of those films that can show the whole heart? The kind where you drink some medication and it looks really clear?"

"Yes," Laurent nodded.

"Great! My baby just told me about this." The energetic young man immediately perked up: "Give me this!"

"Do my brothers also think I have a heart condition?" the energetic young man asked Laurent.

Laurent nodded: "I suspect there are risks. I suggest you have the surgery; I can cover the costs!"

Laurent didn't have much money; it was all his previous savings.

But Laurent, who had handled many death disputes in his previous life, knew very well that life itself should not be measured in money.

No matter how much money it costs, whether it's the original owner of this body or himself, Laurent is willing to pay.

"What else is there to say? This is the brother I've entrusted my life to!" The energetic young man patted Laurent on the shoulder.

Laurent always felt that the young man was still referring to the surgery.

But the energetic young man then said, "I trust his skills, so I'll get checked out. It'll also be a good opportunity to see if I have any heart problems."

"After that, you guys get me a copy of my heart X-ray, and I'll have a designer make it into a T-shirt."

The energetic young man pulled a bag from his pocket and said, "This is my husband's medical insurance card. I just asked him, and if there's a risk, we need to do the tests. Just swipe it! Consider it my own choice, okay?"

In an instant, all eyes fell on the energetic young man.

The energetic young man said, "Just consider it a medical check-up, can I sign the papers for you?"

Zuo Zhenxing and Jiang Nanguo exchanged glances, then looked at the energetic young man, and finally at the determined Laurent. They sighed, "Alright. Since the patient agrees, let's do a coronary CTA. I'll write the order; expedite it."

The so-called coronary CTA, or CCTA, is essentially a procedure that uses multi-slice spiral CT to angiography the coronary arteries.

Compared to the stereotypical image of cardiac angiography, CCTA is a non-invasive examination.

It is also less harmful to the body, and the radiation content is not much higher than that of a regular CT scan.

Half an hour passed.

The computer has already generated a preliminary image.

The diagnosis was not made by the radiology department.

Zuo Zhenxing and Jiang Nanguo squatted directly in front of the computer to observe the images.

Gradually, the room fell silent.

Zuo Zhenxing and Jiang Nanguo's faces turned serious.

"myocardial bridging".

Zuo Zhenxing let out a long sigh and explained heavily, "It's a deep coronary artery myocardial bridge, over 2cm in length, and the compression level should have reached 75%."

"Really?" Zhang Lianren's question was tinged with lingering fear.

"Really, if the surgery had been performed just now, there was a possibility of complications." Zuo Zhenxing nodded.

The three of them re-examined the footage.

"Whether the patient continues with surgery or goes out clubbing at night, there is a risk of myocardial infarction."

Jiang Nanguo pursed his lips: "Yes, Laurent's conjecture is undoubtedly correct."

At this moment, Laurent watched the red light above his head gradually fade and let out a long sigh of relief.

It seems that he has once again snatched a life back from the clutches of death.